Written questions by Collins.

What process is available to manufacturers to seek reassignment or review of a GMDN Level 2 classification used by the MHRA where the published description no longer reflects the device’s intended purpose.

Global Medical Device Nomenclature (GMDN®) codes and categories are managed and determined by the GMDN Agency. The structure is managed independently of the Medicines and Healthcare products Regulatory Agency (MHRA) who is not involved in assigning GMDN® codes to categories. Questions regarding GMDN® code allocations to categories should therefore be directed to the GMDN Agency.

What oversight his Department exercises over the MHRA’s use of GMDN Level 2 classifications in the registration and regulation of medical devices in the UK.

The Medicines and Healthcare products Regulatory Agency (MHRA) derives most of its income from charging statutory fees for its services. Generally, wherever the MHRA provides a service for regulatory work, a statutory fee is set to recover the cost of the work involved.This means the regulated bear the cost of regulation, and Government bodies do not make a loss which must be subsidised by wider Government and ultimately the taxpayer, including patients themselves.This is in line with the HM Treasury guidance “Managing Public Money” which states that ‘the standard approach is to set charges to recover full costs’. The MHRA does not make any profit from statutory fees.In 2024, the MHRA consulted on proposals regarding ongoing cost recovery, and a Government response was published in March 2025. This is available at the following link:https://www.gov.uk/government/consultations/mhra-consultation-on-statutory-fees-proposals-on-ongoing-cost-recoveryGoing forward, the MHRA intends to update its fees every two years as regularity provides more certainty to customers and enables financial planning. This is standard practice amongst government bodies operating on a cost recovery basis.The modified Medical Device Registration Fee will be calculated by relating staff costs for post-market work to the number of Global Medical Device Nomenclature (GMDN®) codes registered to each manufacturer. The GMDN® is a comprehensive set of terms that name and group all medical device products. The Department has an agreement with the GMDN Agency for the use of the GMDN® Codes and Categories. However, these Codes and Categories are managed by the GMDN Agency.The MHRA, as an executive agency of the Department, may use the GMDN® Codes and Categories. It does so for the purposes of devices registration and vigilance reporting, which is essential for the MHRA’s work to implement the regulations for medical devices and in-vitro diagnostics.There will be an annual fee for each of the GMDN® codes under which a manufacturer registers.

What steps the MHRA is taking to address circumstances in which a previously used GMDN Level 2 code has been obsoleted or materially amended at the point of mandatory device registration renewal.

Global Medical Device Nomenclature (GMDN) Codes and Categories are managed by the GMDN Agency. The GMDN Agency may obsolete GMDN Codes within a hierarchy of GMDN Categories. If a GMDN Code is obsoleted, the Medicine and Healthcare products Regulatory Agency (MHRA) will receive a feed notifying it of the GMDN Code obsolescence. When a GMDN Code becomes obsolete, the MHRA notifies all registrants that are impacted by the obsolescence. Applicants are notified within the MHRA Device Online Registration System (DORS). The applicant can then update the obsolete GMDN Code to an active GMDN Code within DORS.If a newly selected active GMDN Code falls within a different GMDN Level 2 Category, or Level 1 Category where no Level 2 Category exists, an annual fee may become payable from 1 April of the following year at the time of renewal. The fee will be charged if the newly selected GMDN Code is the only device within the chargeable category.

What recent steps he has taken to increase access to GP appointments.

This government has invested an extra £1.6 billion into general practice since coming into office, recruited over 2000 GPs, and extended access to online services throughout core hours, delivering 6.8 million more appointments, 46,000 more benefiting your constituents in the last year. Thanks to the steps the government has taken, 75% of patients now say it is easy to contact their GP, up a sizeable 14 percentage points since July 2024, a very positive development that I’m sure the honourable lady would wish to welcome. In our manifesto we pledged to end the 8am scramble - and that is precisely what we are doing.

What assessment she has made of the potential impact of business rates on soft play centres in Harpenden and Berkhamsted constituency.

I refer you to my previous answer to PQ 111499.

What steps his Department is taking to help support people with endometriosis in the workplace in Harpenden and Berkhamsted constituency.

Good work is good for health, so we want everyone to get work and get on in work, whoever they are and wherever they live. Backed by £240 million investment, the Get Britain Working White Paper launched in November 2024 is driving forward approaches to tackling economic inactivity. Disabled people and people with health conditions are a diverse group so access to the right work and health support, in the right place, at the right time, is key. The Government is committed to supporting disabled people and people with health conditions, including women with endometriosis, with their employment journey. We therefore have a range of specialist initiatives to support individuals to stay in work and get back into work, including those that join up employment and health systems. Existing measures include support from Work Coaches and Disability Employment Advisers in Jobcentres and Access to Work grants, as well as joining up health and employment support around the individual through Employment Advisors in NHS Talking Therapies, Individual Placement and Support in Primary Care and WorkWell. WorkWell is part of Pathways to Work and will be rolled out across all of England backed by up to £259 million investment over three years. We are also rolling out Connect to Work, our supported employment programme for anyone who is disabled, has a health condition or is experiencing more complex barriers to work. In November 2025, Sir Charlie Mayfield reported his Keep Britain Working Review, setting out recommendations to support employers to create healthier and more inclusive workplaces and radically reshape the way Government works with employers to improve outcomes. Following publication we have entered the Vanguard phase and, as part of this, we are partnering with Vanguard employers to test how we can better support good health in work, with a focus on women's health as part of this. Women’s health directly impacts economic participation, with health issues being the leading cause of lost working time for women. We have been inputting into the Women’s Health Strategy renewal to ensure women being in work is a positive health outcome. This includes a commitment to adopting a women’s health across the life course lens as part of the partnership with Vanguard employers in the Keep Britain Working Vanguard Phase. The 10 Year Health Plan, published in July, builds on existing work to better integrate health with employment support and incentivise greater cross-system collaboration, recognising good work is good for health. The Plan states our intention to break down barriers to opportunity by delivering the holistic support that people need to access and thrive in employment by ensuring a better health service for everyone, regardless of condition or service area. It outlines how the neighbourhood health service will join up support from across the work, health and skills systems to help address the multiple complex challenges that often stop people finding and staying in work. Individuals unable to work due to endometriosis may be eligible to receive Statutory Sick Pay from their employer which, from April becomes payable from the first full day of sickness absence.

With reference to the National Institute for Health and Care Research's news story entitled NIHR launches £13.7 million investment into brain tumour research, published on 19 December 2025, whether the funding allocated to brain tumour research through the NIHR Brain Tumour Research Consortium includes specific funding to increase tissue freezing capacity and standardise access to tumour storage across NHS trusts and health boards to allow all eligible brain cancer patients to have genomic sequencing, clinical trials, and advanced diagnostics.

The Department invests over £1.6 billion each year in research through the National Institute of Health and Care Research (NIHR).In January 2026, the NIHR announced increased investment of over £25 million in the NIHR Brain Tumour Research Consortium. The world-leading consortium aims to transform outcomes for adults and children and their families who are living with brain tumours, ultimately reducing lives lost to cancer. Its activities will include:enrolling patients to a ‘Real World’ study tracking their progress in everyday medical settings, before matching them to new clinical trials based on their cancer subtype;developing pioneering new clinical trials, including platform trials, to test medicines and radiotherapy technologies, immunotherapies, and novel gene therapies. This includes targeted precision medicine; anddeveloping new training programmes for those working in brain cancer research to build capacity and increase skills among the next generation of researchers.It is anticipated that this funding will include costs associated with freezer capacity to house frozen tissue and liquid biopsy samples specifically to support the consortium’s activities. The consortium will also engage with partners on the standardised pathways for tissue storage and whole genome sequencing for all patients for stratification into clinical trials.In addition, the NIHR’s investments for capital equipment, technology, and modular buildings support National Health Service trusts across England to deliver high-quality research to improve the health of the population. This investment includes cutting edge research equipment and fixed assets such as ultra-low and cryogenic freezers, to strengthen research capacity and improve access to samples for research.

With reference to the National Institute for Health and Care Research's news story entitled NIHR launches £13.7 million investment into brain tumour research, published on 19 December 2025, what assessment his Department has made of the potential impact of funding the NIHR Brain Tumour Research Consortium and Brain Tumour Research Centres of Excellence on the level of patient access to tumour tissue freezing within routine NHS neuro-oncology pathways, including access for patients treated outside specialist centres to sequencing, research, and clinical trials.

The Department invests over £1.6 billion each year in research through the National Institute of Health and Care Research (NIHR).In January 2026, the NIHR announced increased investment of over £25 million in the NIHR Brain Tumour Research Consortium. The world-leading consortium aims to transform outcomes for adults and children and their families who are living with brain tumours, ultimately reducing lives lost to cancer. Its activities will include:enrolling patients to a ‘Real World’ study tracking their progress in everyday medical settings, before matching them to new clinical trials based on their cancer subtype;developing pioneering new clinical trials, including platform trials, to test medicines and radiotherapy technologies, immunotherapies, and novel gene therapies. This includes targeted precision medicine; anddeveloping new training programmes for those working in brain cancer research to build capacity and increase skills among the next generation of researchers.It is anticipated that this funding will include costs associated with freezer capacity to house frozen tissue and liquid biopsy samples specifically to support the consortium’s activities. The consortium will also engage with partners on the standardised pathways for tissue storage and whole genome sequencing for all patients for stratification into clinical trials.In addition, the NIHR’s investments for capital equipment, technology, and modular buildings support National Health Service trusts across England to deliver high-quality research to improve the health of the population. This investment includes cutting edge research equipment and fixed assets such as ultra-low and cryogenic freezers, to strengthen research capacity and improve access to samples for research.

What assessment she has made of the potential impact of business rates on soft play centres in Harpenden and Berkhamsted constituency.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since the pandemic, which has led to significant increases in rateable values for some properties as they recover from the pandemic. In recognition of the impact of the revaluation on bills, the Government introduced a support package worth £4.3 billion, to protect against ratepayers seeing large overnight increases in bills. As a result, over half of ratepayers will see no bill increases. This also means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest. The Government is also introducing new permanently lower tax rates for eligible retail, hospitality and leisure properties, including soft play centres. These new tax rates are worth nearly £1 billion per year, and will benefit over 750,000 properties.

What plans her Department has to provide long-term funding for schools supported by the Music and Dance Scheme.

The government is committed to revitalising arts education. This includes £36.5 million for the Music and Dance Scheme this academic year, with £32.5 million allocated for the approximately 900 students attending schools and £4 million for the approximately 1100 students at Centres for Advanced Training. Future funding will be announced in due course. The government funds the Music Hub network, providing £76 million annually to support all state-funded schools and pupils. The government also provides means‑tested Dance and Drama Awards for dance students, and Arts Council England funds a wide range of music and dance education programmes. We will establish a new National Centre for Arts and Music Education by September, investing £13 million over three years to support state-funded schools to deliver more equitable arts education. Dance teaching in state‑funded schools will also be supported by the new PE and School Sport Partnership network as part of the revised physical education curriculum.

What progress her Department has made to help improve the energy efficiency of homes in Harpenden and Berkhamsted constituency.

The recently published Warm Homes Plan, backed by £15 billion, represents biggest investment in home upgrades ever. Households, including in Harpenden and Berkhamsted constituency, will be able to benefit from solar panels, batteries, heat pumps and insulation that can cut energy bills and improve energy efficiency. The Warm Homes Plan makes an offer to every household, and we will reach up to 5 million homes by 2030, through direct support for those on low incomes and in fuel poverty, and innovative low-interest finance available to all. New energy efficiency standards in the private and social rented sectors will also lift around 650,000 households out of fuel poverty.

What assessment her Department has made of the potential impact of the levels of funding for music and dance schools on the adequacy of the provision of music and dance training.

The government is committed to revitalising arts education. This includes £36.5 million for the Music and Dance Scheme this academic year, with £32.5 million allocated for the approximately 900 students attending schools and £4 million for the approximately 1100 students at Centres for Advanced Training. Future funding will be announced in due course. The government funds the Music Hub network, providing £76 million annually to support all state-funded schools and pupils. The government also provides means‑tested Dance and Drama Awards for dance students, and Arts Council England funds a wide range of music and dance education programmes. We will establish a new National Centre for Arts and Music Education by September, investing £13 million over three years to support state-funded schools to deliver more equitable arts education. Dance teaching in state‑funded schools will also be supported by the new PE and School Sport Partnership network as part of the revised physical education curriculum.

What steps her Department is taking to help ensure children from non-privileged backgrounds can access music and dance training (a) through the Music and Dance Scheme Schools and (b) any other schemes.

The government is committed to revitalising arts education. This includes £36.5 million for the Music and Dance Scheme this academic year, with £32.5 million allocated for the approximately 900 students attending schools and £4 million for the approximately 1100 students at Centres for Advanced Training. Future funding will be announced in due course. The government funds the Music Hub network, providing £76 million annually to support all state-funded schools and pupils. The government also provides means‑tested Dance and Drama Awards for dance students, and Arts Council England funds a wide range of music and dance education programmes. We will establish a new National Centre for Arts and Music Education by September, investing £13 million over three years to support state-funded schools to deliver more equitable arts education. Dance teaching in state‑funded schools will also be supported by the new PE and School Sport Partnership network as part of the revised physical education curriculum.

What plans her Department has to provide support to schools that face financial challenges to participate in the Music and Dance Scheme Schools.

The government is committed to revitalising arts education. This includes £36.5 million for the Music and Dance Scheme this academic year, with £32.5 million allocated for the approximately 900 students attending schools and £4 million for the approximately 1100 students at Centres for Advanced Training. Future funding will be announced in due course. The government funds the Music Hub network, providing £76 million annually to support all state-funded schools and pupils. The government also provides means‑tested Dance and Drama Awards for dance students, and Arts Council England funds a wide range of music and dance education programmes. We will establish a new National Centre for Arts and Music Education by September, investing £13 million over three years to support state-funded schools to deliver more equitable arts education. Dance teaching in state‑funded schools will also be supported by the new PE and School Sport Partnership network as part of the revised physical education curriculum.

How many UK technology startups and scale-ups were acquired by foreign companies in each of the last three years; and what the total value of those acquisitions was in each of the last three years.

The statistics requested are not readily available. The Department for Business and Trade is supporting the next generation of start-ups and scale-ups, aiming to create the UK’s first trillion-dollar technology business by 2035. The Industrial Strategy and Digital & Technology Subsector plan set out how we will achieve this. They set out a whole-of-government approach to the sector, reforming the business environment for digital and technology companies and addressing their needs for greater investment, skills, infrastructure, regulation and access to international markets.

How many UK technology company acquired by foreign buyers were of (a) pre-revenue startups and (b) companies with revenues (i) under £10 million, (ii) between £10-50 million and (iii) £50 million in the last three years; and what assessment he has made of the implications for his policies of UK scale-ups being acquired before reaching their full growth potential.

The statistics requested are not readily available. The Department for Business and Trade is supporting the next generation of start-ups and scale-ups, aiming to create the UK’s first trillion-dollar technology business by 2035. The Industrial Strategy and Digital & Technology Subsector plan set out how we will achieve this. They set out a whole-of-government approach to the sector, reforming the business environment for digital and technology companies and addressing their needs for greater investment, skills, infrastructure, regulation and access to international markets.

Innovation and Technology, what assessment he has made of the trends in the level of foreign acquisition of UK technology companies in the last five years.

International deals have remained constant at around 60% of total merger and acquisition activity since 2021, with a greater concentration in innovation-driven fields.Whilst this brings significant inward investment and unlocks funds to be reinvested back into our innovation ecosystem, Government is also taking steps to increase capital available from UK sources so that companies have the option to scale, grow and list in the UK. Measures taken to support this include increasing capitalisation of the British Business Bank and National Wealth Fund, launching a new Listings Taskforce, ongoing pensions reforms, and wider measures set out in the Entrepreneurship Prospectus.

What assessment his Department has made of the potential impact of State Pension age changes for 1950s-born women living in Harpenden and Berkhamsted constituency.

All women born since 6 April 1950 have been affected by changes to State Pension age. Estimates can be made with ONS 2022 Census Data of how many women born in the 1950s were resident in each constituency in that year.

Food and Rural Affairs, what steps she is taking to help ensure the 30 by 30 on land in England nature recovery target is met.

The UK Government is committed to protecting 30% of land and sea in the UK by 2030 (30by30). Progressing this target on land in England means ensuring that our most important and wildlife-rich habitats are benefiting from effective, long-term conservation and management. In October 2024 we set out our vision for progressing 30by30 on land in England and the criteria for land and inland water areas which can count towards this target. Our 30by30 Delivery Plan will set out how we will lead, support, and inspire action across England to deliver this vision. We will publish the 30by30 Delivery Plan later this year.

What assessment his Department has made of the potential merits of funding the full cost of specialist palliative care delivered by hospices.

Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification. The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable ICBs to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services to ensure that services reduce variation in access and quality. We will consider contracting and commissioning arrangements as part of our MSF. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead. The recently published Strategic Commissioning Framework and Medium-Term Planning Guidance also make clear the expectations that ICBs should understand current and projected total service utilisation and costs for those at the end of life, creating an overall plan to more effectively meet these needs through neighbourhood health. Hospices provide both core and specialist palliative care. Whilst acknowledging that not everyone will need specialist palliative care, we must ensure is that there is equitable and timely access to these services, whether they are provided by hospices or the National Health Service. While no specific assessment has been made of the cost of changes in the levels of funding to hospices on the wider healthcare system, as part of our 10-Year Health Plan, the Government will shift the focus of healthcare out of the hospital and into the community. We recognise that it is vital to include palliative care and end-of-life care, including hospices, in this shift.